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In Reply.—First of all, I would like to thank Dr Wind for sharing his experience with a similar type problem that we experienced in our rhinoplasty that resulted in a patient having unilateral blindness. I agree with him, as well as with the interpretation of our complication, that there was a vascular link to the ophthalmic system resulting in the anesthetic making its way to the central retinal artery and, as in our case, resulting in our patient's blindness. Possibly in his patient, it was a very temporary phenomenon and resolved quickly without any permanent affect on his patient's vision.
I would like to reemphasize the point that Dr Wind made when injecting the septum, that frequent aspirations should be performed to reduce the chance of performing a repeated intravascular injection.
As this type of complication is reported more frequently, which is sometimes the case after the initial report, all rhinosurgeons
BLAIR PA. Blindness as a Complication of Rhinoplasty-Reply. Arch Otolaryngol Head Neck Surg. 1988;114(5):581. doi:10.1001/archotol.1988.01860170111037
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